Beyond Silver Bullets: Embracing Era 3 of Healthcare

by | Feb 13, 2018 | Era 3: the moral era, Healthcare Transformation, Improving the health of the poor, Lean, patient centered care, Population Health Management, Process Improvement, Social Determinants of Health, The Triple Aim

Zeev Neuwirth, Senior Medical Director of Population Health at Carolinas Healthcare System Medical Group, and an old friend and former colleague, launched a weekly podcast last August entitled, Creating a New Healthcare. I love the recurrent introduction that  Zeev...
The Tax Reform Bill Is Like Coal In the Stocking of the Poor

The Tax Reform Bill Is Like Coal In the Stocking of the Poor

by | Dec 26, 2017 | Health in America, Improving the health of the poor, Inequality, Inequality in Healthcare, Poverty, Social Determinants of Health, Tax Reform and Healthcare, The Triple Aim

On Christmas morning as I was enjoying opening presents with my family, it occurred to me that President Trump’s suggestion that the tax bill was a big Christmas present for Americans must be very painful for the poor to hear. This bill puts much of their “safety net”...
How Proposed Tax Reforms Could Affect Healthcare

How Proposed Tax Reforms Could Affect Healthcare

by | Nov 14, 2017 | Healthcare Transformation, Improving the health of the poor, Inequality in Healthcare, Politics, Presidential Politics, Social Determinants of Health, Tax Reform and Healthcare, the healthcare debate

I know very little about taxes. I pay them. I have always assumed that everyone can build a case for why they should pay less. I also figure that some people cheat and don’t pay theirs, and that others use their influence within the political process to have the laws...
Gun Rights and Healthcare as a Right: Where Do We Go From Here?

Gun Rights and Healthcare as a Right: Where Do We Go From Here?

by | Oct 10, 2017 | 2nd Amendment Rights, Bipartisan Healthcare Process, Featured Post, Healthcare as a Right, Improving the health of the poor, Non Zero

“Keep Your Eyes on the Prize” evolved from a Southern gospel song to become an anthem of the Civil Rights movement of the fifties and sixties. It’s a phrase that frequently pops into my head when I am frustrated with my progress against a goal. It comes to mind now...
Better Healthcare Requires A Bipartisan Expression of Reciprocal Altruism

Better Healthcare Requires A Bipartisan Expression of Reciprocal Altruism

by | Jul 25, 2017 | ACA, Better Care and Reconciliation Act of 2017, Featured Post, Improving the health of the poor, Medicaid Reform, Repeal and Replace, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim

A major event that changed the way I see the world occurred in 1995 when I read Robert Wright’s The Moral Animal: Why We Are The Way We Are: the New Science of Evolutionary Psychology. The book was so good that I immediately gobbled up Nonzero: The Logic of Human...